Abstract
Thyrotropin (TSH)/growth hormone (GH) pituitary adenoma is rare and often characterized by specific signs and clinical presentations. The most common presentation of cosecreting TSH/GH pituitary adenomas is a combination of altered facial appearance (84%), goiter (91%) followed by hyperhidrosis (75%), hyperphagia (58%), trembling hands (50%), and vision impairment (50%). The patient with TSH and GH-producing pituitary adenoma had a lower surgical complete remission rate and a worse prognosis. Our case is unique in many ways in terms of the initial presentation, without having the specific signs and symptoms of TSH/GH-producing pituitary adenoma.
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